QUALIFIED HEALTHCARE LLC NPI 1700489390

NPI Information

  • NPI: 1700489390
  • Provider Name: QUALIFIED HEALTHCARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 15D2254091
  • Address: 5555 N TACOMA AVE STE 104
    INDIANAPOLIS, IN
    ZIP 46220
  • Phone: (317) 426-2210

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NPI Details

QUALIFIED HEALTHCARE LLC is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. QUALIFIED HEALTHCARE LLC NPI is 1700489390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5555 N TACOMA AVE STE 104
INDIANAPOLIS, IN
ZIP 46220-551
Phone: (317) 426-2210
Fax: (317) 779-2560

The provider's authorized official is Deborah Mcglasson .
The authorized official title is President and has the following contact phone number (317) 426-2210.

The CLIA number assigned to this NPI record is 15D2254091 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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